ATV Regular Membership
$35 + $2 PayPal Fee  Includes membership in ATV Maine
Sign in to Google to save your progress. Learn more
Name *
Street Address
 *
City
 *
State
 *
Zip Code
 *
Phone number
Email *
Date of Birth
MM
/
DD
/
YYYY
Number of People in household
Please list the names of people in your household (Due to the $3500 Accidental Death and Dismemberment benefit provided to all ATV Maine primary members and their immediate family)
Due to a request from our insurance carrier, we have been asked to include this disclaimer:
I understand that by submitting this application, my membership can be terminated at any time if the club officers have a reason to believe that I, or a member of my family, operates a snowmobile or an ATV in a manner that it endangers the landowner/club relationship or negatively reflects on the integrity of the club. Thus, my membership fee is non-refundable. I agree to hold harmless the East Branch Sno-Rovers and ATV Club from all liabilities resulting from my involvement with the club. *
Required
Please select any areas in which you would be willing to help
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms